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Application_1527285CITY OF EDMONDS MyBuildingPermit.com Mechanical Application #1527285 Applicant First Name Genisis Last Name Lopez Company Name Eco Electric Number Street PO Box 468 Apartment or Suite Number E-mail Address genisis@ecoserviceswa.com City State Mercer Island Wa Zip 98040 Phone Number Extension (206) 670-6943 Contractor Company Name Eco Electric Number Street PO Box 468 Apartment or Suite Number City Mercer Island State Zip WA 98040 Phone Number Extension (206) 232-0838 State License Number ECOELEP768BT License Expiration Date 1/30/2026 UBI # E-mail Address Bn.15Rg74D cory@ecoelectricwa.com Project Location Number Street 1063 B AVE Floor Number Suite or Room Number City EDMONDS Zip Code 98020 County Parcel Number 00619400300602 Associated Building Permit Number Tenant Name Additional Information (i.e. equipment location or special instructions)_ Work Location Property Owner First Name Benjamin L & Jennifer M Last Name or Company Name Brackett Number Street 1063 B AVE S Apartment or Suite Number City EDMONDS State WA Zip 98020 Certification Statement - The applicant states: I certify that I am the owner of this property or the owner's authorized agent, including an appropriately licensed contractor. I have furnished true and correct information. I will comply with all provisions of law and ordinances governing this type of construction work, whether specific herein or not. By submitting this application I give the jurisdiction permission to enter the property to perform inspections. I understand that failure to comply with the above may result in revocation of the permit. Date Submitted: 8/2/2024 Submitted By: Genisis Lopez Page 1 of 2 CITY OF EDMONDS MyBuildingPermit.com Mechanical Application #1527285 Project Type Activity Type Scope of Work Single Family Residential Repair or Replacement Mechanical Project Details Heaters Fireplace Insert - Gas 1 Work Location Work Description/Location (example: 1 st floor, Running gas line for fireplace insert Master Bath, Garage) Page 2 of 2